(2) Hepatitis Virus (HCV, HDV, HEV, & HGV) Flashcards
Identify the virus
- Major public health problem
- > 4m infected in us
- > 170m people die worldwide
- 12000 patients die annually (us)
HEPATITIS C VIRUS (HCV)
- Leading cause of chronic hepatitis, cirrhosis, and liver cancer.
- Primary indication for liver transplantation in Western countries
Hepatitis C Virus
Hepa C virus are known causative agent of previously known?
Non-A and Non-B Hepatitis
Hepa C Incidence rate after a single unit blood transfucsion
2-4%
Hepa C Virus
Identify the Family, and genus
also give the characteristive of the virus
Family: Flaviviridae
Genus: Hepatitis C Virus
Characteristic: Enveloped, ssRNA virus
How many genotyoes are there in HEPA C?
6 (designated as 1-6)
what is the characteristic of HEPA C Virus why is it allowed to esxape immune response and persist in the host
HIGH MUTATION RATE
Also known as the post-transfusion hepatitis or the non- A and non-B (NANB) hepatitis.
Hepatitis C
main agent of the Hepatitis C ?
Hepatitis C virus malamang
MOT of Hepa C
- Parenteral (Blood Transfusion)
what stages for Hepa c may lead to liver cirrhosis and cancer
Acute and Chronic Stage
Treatment for Hepa C
Interferons and Ribavirin
HCV Risk factors
- Blood transfusion before 1992
o Testing has reduced risk to about 0.001 to 0.01% per
unit of blood transfused. - Organ transplantation before 1992.
- Occupational exposures to contaminated blood.
- Chronic hemodialysis.
- Possibly intranasal cocaine use, body piercing, and tattooing
Enumerate the test for HCV
- Surrogate tests
- Serological Test
- Radioummunoblot Assay
- RT-PCR
identify what test for HCV
- An old test for HCV infection which tests if an individual has both high ALT and a (-) ANTI-HBc indicating non-reactivity to ANTI HBcAg1.
- Non-specific
Surrogate Tests
identify what test for HCV
ELISA and RIA fir ANTI-HCV
Serological test
identify what test for HCV
Specific test fo ANTI-HCV
Radioimmunoblot Assay (RIBA)
identify what test for HCV
In cases of persistent HCV Infection
RT-PCR (for HCV RNA)
Interpretation Pattern of HCV markers
ANTI-HCV: -
RIBA: -
HVC RNA: +
Acute HCV infection
Interpretation Pattern of HCV markers
ANTI-HCV: +
RIBA: +
HVC RNA: +
Active HCV Infection
Interpretation Pattern of HCV markers
ANTI-HCV: +
RIBA: -
HVC RNA: -
Possible HCV Clearance & False positive HCV Test
Interpretation Pattern of HCV markers
ANTI-HCV: +
RIBA: Indeterminate
HVC RNA: -
Requires Further Analysis
HCV markers
TOF
Serological and BIRA are correleted. Therefore, if serolofical test +, BIRA should also test +
F (RIBA)
Identify the virus
- Single-stranded
- Circular RNA
- Surrounded by envelope from HBV and containse HBsAg
Hepatitis D Virus
Initially called delta agent, now hepatitis delta antigen
Hepatitis D Virus